If yu gɛt ankylosing spondylitis (AS), di big tin we yu fɔ du na fɔ sɔm kayn we fɔ kɔntrol di sik, fɔ ridyus di pen, ɛn kɔntinyu fɔ du di tin dɛn we yu de du ɛvride. Pan ɔl we yu de tray tranga wan fɔ gɛt dɛn prɔblɛm dɛn de na yu bɔdi, yu kin fil bak se bɔku bɔku mɔni fɔ mɛrɛsin ɛn dɔktɔ fi kin kam wantɛm wantɛm. So wi nɔ go tɔk mɔ, lɛ wi tɔk bɔt di kɔst fɔ dis sik ɛn aw fɔ mɛn am.
Fɔs, wetin na ankylosing spondylitis (AS)?
Fɔ tɔk am simpul wan, ankylosing spondylitis na wan kayn at at sik. I kin afɛkt yu spayna mɔ. As tɛm de go, dis sik kin mek yu vayrɔs dɛn jɔyn togɛda. Dis kin mek yu spayna nɔ ebul fɔ chenj ɛn i kin hunch fɔ go bifo.
Apat frɔm dis, yu kin gɛt pen ɛn nɔ kin fil fayn na yu rib, hip jɔyn, ɛn yu sholda jɔyn. Sɔntɛnde, di yay kin inflamɛns we de mek yu fil pen bak.
Di tin we impɔtant pas ɔl na dat, no mɛrɛsin nɔ de yet fɔ dis sik . Bɔt if dɛn tek di rayt mɛrɛsin ɛn fizik tritmɛnt, dɛn kin kɔntrol di sayn dɛm ɛn dɛn kin kɔntrol aw di sik de go bifo. Na if di jɔyn dɛn dɔn pwɛl bad bad wan, dɛn kin nid fɔ du am ɔpreshɔn, ɛn dat nɔ kin apin so ɔltɛm.
Wetin na di kɔst fɔ tritmɛnt?
Durin flare-ups of AS, yu mεdikal kכst dεm de inkrεs. Dɛn kin sheb dɛn kɔst ya to sɔm men kategori dɛn.
1. Fɔ Go na Ɔfis Ɔltɛm
Fɔ dis sik, yu go mɔs go to dɔktɔ we de mɛn yu rεumatɔlɔji . Dɛn go ɔltɛm ɛgzamin yu ɛn tɔk bɔt yu tritmɛnt plan lɛk ɛvri 3 mɔnt. Bɔt di tɛm dɛn we yu de fil pen mɔ ɛn mɔ ɛn yu nɔ go fil fayn, yu go nid fɔ go to dɔktɔ bɔku tɛm. As yu no, ɛni wan pan dɛn kɔnsultɛshɔn ya kin tek mɔni.
2. Fizik Tɛrapi Sɛshɔn dɛn
Fizik tɛrapi na wan rili impɔtant pat pan di AS tritmɛnt plan. Gud dɔktɔ we de mɛn yu bɔdi kin ɛp yu fɔ ridyus yu pen, yu fɔ gɛt mɔ trɛnk ɛn fɔ ebul fɔ chenj chenj, ɛn tich yu ɛksesaiz dɛn we yu kin du na os.
Bɔt dɛn tritmɛnt ya kin gɛt bɔku mɔni bak. Bikɔs bɔku tɛm dɛn kin nid fɔ du bɔku sɛshɔn dɛn, dɛn kin ad as tɛm de go. If yu gɛt wɛlbɔdi inshɔrans, i go fayn fɔ chɛk bifo tɛm fɔ si if dɛn de kɔba yu fizik tritmɛnt.
Di kayn mɛrɛsin dɛn we dɛn kin yuz fɔ tritmɛnt ɛn di kɔst we dɛn kin spɛn
Bɔku kayn mɛrɛsin dɛn de we dɛn kin yuz fɔ mɛn AS. Yu dɔktɔ go gi yu dɛn tin ya bay di kayn sik we yu gɛt. Big difrɛns kin de bitwin dɛn mɛrɛsin ya ɛn di kɔst fɔ dɛn.
| Tayp fɔ Drug | Wetin mek yu fɔ yuz am? | Ɛgzampul dɛn |
|---|---|---|
| Di tin dɛn we dɛn kin yuz fɔ mɛn pen (NSAID) . | Fɔ kɔntrol di pen ɛn inflamɛns na di fɔs stej dɛm. Dɛn tin ya nɔ dia bɛtɛ. | Ibuprofen, Naproksen, Indometasin, ɛn ɔda pipul dɛn |
| DMARD dɛn (Drɔg dɛn we de chenj di sik we de mek pɔsin sik) | Fɔ ridyus di joyn swel ɛn pen we i at fɔ kɔntrol di sik wit NSAID nɔmɔ. | Sɔlfasalazin, Mɛtɔtreksɛt |
| Bayolojikal drɔgs (Biologics) . - TNF blɔk dɛn - IL-17 inhibito dεm | Bɔrku pawaful mɛrɛsin wae dɛn kin yuse pan siriɔs kes dɛm wae gɛt dis sik wae nɔr kin izi fɔ kɔntrol. Dɛn kin ridyus di pen, stif, ɛn inflamɛns. Dɛn tin ya rili dia. | Adalimumab (Humira), Ɛtanɛsɛpt (Ɛnbrɛl), Infliksimab (Rɛmikɛd), Sɛkukinumab (Kɔsɛntiks) |
| JAK Inhibitɔ dɛn | Wan ɔda pawaful klas fɔ drɔgs we dɛn kin yuz fɔ pasɛnt dɛn we nɔ de ansa ɔda bayolojikal dɛn. Dɛn tin ya bak rili dia. | Tofasitinib (Xeljanz) we dɛn kɔl . |
As yu si, pan ɔl we di fɔs mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen nɔ kin dia so, di mɛrɛsin dɛn we dɛn kin gi as di sik kin at fɔ kɔntrol, lɛk bayolojikal ɛn JAK inhibitor, kin rili dia . Dɛn tin ya kin kam as injɛkshɔn ɔ pils, ɛn yu kin dɔn fɔ pe bɔku mɔni fɔ ɛni doz.
So, aw yu de manej dɛn spɛns dɛn ya?
Dis sik kin mek yu bɔdi, maynd, ɛn mɔni nɔ gɛt bɛtɛ mɔni. Bɔt nɔ wɔri. Yu kin ridyus dis lod if yu tink bɔt am bifo tɛm ɛn du sɔntin.
- Tɔk to yu dɔktɔ opin wan: Dis na di tin we impɔtant pas ɔl ɛn di fɔs tin we yu fɔ du . Tɔk to yu dɔktɔ bɔt aw yu de fred ɛn aw yu nɔr de fil fayn bɔt di kɔst fɔ tritmɛnt ɛn nɔr de shem. I go ebul fɔ advays yu bɔt ɔda tritmɛnt dɛn we fayn ɛn we nɔ dia fɔ yu.
- Ɔndastand di difrɛns bitwin di pɔblik ɛn prayvet sɛktɔ: Wan pan di big bɛnifit dɛn we wi gɛt na Sri Lanka na di pɔblik ɔspitul sistɛm. Aks yu dɔktɔ if yu kin gɛt sɔm dia dia mɛrɛsin dɛn tru pɔblik ɔspitul. If yu de gɛt dɛn mɛrɛsin ya frɔm di prayvet sɛktɔ, i fayn bak fɔ kɔmpia di prayz dɛn na difrɛn famasi dɛn.
- Chek yu inshɔrans kɔvarej: If yu gɛt prayvet wɛlbɔdi inshɔrans, chɛk fɔ si if i de kɔba fɔ go to dɔktɔ, tritmɛnt fɔ fizik tɛrapi, ɛn mɛrɛsin dɛn we gɛt fɔ du wit dis sik, ɛn to aw i de kɔba.
- Luk fɔ sɔpɔt grup dɛm: Sɔm asosieshɔn ɔ sɔpɔt grup kin de we pipul dɛm wae gɛt dis kayn sik wae kin teik lɔng tɛm kin mek. Yu kin fɛn infɔmeshɔn ɛn sɔpɔt pan aw pɔsin de fil frɔm dɛn kayn ples dɛn de.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing spondylitis (AS) na wan sik we de te we yu nid fɔ kɔntinyu fɔ mɛn am.
- Dɛn kɔst ya na fɔ go to dɔktɔ, fɔ trit yu bɔdi, ɛn mɔ fɔ tek mɛrɛsin dɛn we rili dia lɛk bayolojikal.
- Di tin we impɔtant pas ɔl na fɔ tɔk opin wan ɛn ɔnɛs wan wit yu spɛshal pɔsin bɔt yu tritmɛnt plan ɛn di kɔst dɛm we gɛt fɔ du wit am.
- Nɔ put di tritmɛnt bifo bikɔs ɔf di kɔst. Bifo dat, plan fɔ dil wit di prɔblɛm kwik kwik wan.
- Risach di savis dɛm we de na gɔvmɛnt ɔspitul dɛm ɛn di bɛnifit dɛm fɔ inshɔrans if yu gɛt wan. Mɛmba se nɔto yu wangren de du dis waka.
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